title: Transprostatic selective cystectomy with an ileal bladder.
abstract: Since 1987 we have changed our surgical approach to radical cystectomy and ileal neobladder in order to maintain erectile function and urinary continence. The routine diagnostic work-up includes a staging transurethral resection of the prostate in order not to miss any ductal involvement. The selective cystovesiculectomy is performed by cutting through the apex of the prostate, thus leaving a wide, funnel-shaped tunnel of the prostatic urethra for the anastamosis with the M- or W-shaped ileal reservoir. The preliminary results of 27 patients show excellent results concerning erectile function and continence, as requested by our predictive criteria. Especially the continence achieved after a training period of 3 months is reliable. Further observation will show whether the functional improvements and advantages in the operative technique are achieved at the cost of a higher relapse rate of urethral tumors.
authors.affiliation: Department of Urology, Städtisches Krankenhaus Bogenhausen, Munich, FRG.
authors.forename: A
authors.initials: A
authors.lastname: Schilling
authors.forename: A
authors.initials: A
authors.lastname: Friesen
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010410:Penile Erection / Q000502:physiology; D012509:Sarcoma / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*; D014554:Urination / Q000502:physiology; D014563:Urodynamics